Ethnicity & disease · 2008
Psychosocial factors contribute to resting blood pressure in African Americans.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Pointer Mildred A, Livingston Jonathan N, Yancey Sadiqa, McClelland Marilyn K, Bukoski Richard D
Аннотация
OBJECTIVES: African Americans as a group have higher blood pressure than individuals of northern European ancestry (non-Hispanic Whites). We investigate whether psychosocial factors explain the resting blood pressure of healthy, community-dwelling African Americans in our study.
PARTICIPANTS: A convenience sample of self-reported normotensive African Americans aged 18-65 years who live in the North Carolina Triangle region.
DESIGN: The study protocol consisted of three resting blood pressure sessions with assessment of the following psychosocial factors: anger expression, interpersonal support, anxiety, depression, hostility, active coping, and perceived racism. Additional clinical assessments were height, weight, waist girth, fasting glucose, insulin, triglycerides, and cholesterol.
RESULTS: Resting systolic blood pressure was positively associated with male sex (P<.001) and positively correlated with age (P<.0001), waist girth (P<.0001), body mass index (P=.023), and a Cook Medley Hostility subscale identified as aggressive responding (P=.031). Mean arterial pressure was positively correlated with age (P<.0001), waist girth (P=.0041), Spielberger Anger Expression subscale anger control (P=.023), and aggressive responding (P=.020).
CONCLUSIONS: Anger and hostility are significantly associated with resting blood pressure and may modulate behavioral and traditional (biologic) risk factors that determine cardiovascular physiology.
PARTICIPANTS: A convenience sample of self-reported normotensive African Americans aged 18-65 years who live in the North Carolina Triangle region.
DESIGN: The study protocol consisted of three resting blood pressure sessions with assessment of the following psychosocial factors: anger expression, interpersonal support, anxiety, depression, hostility, active coping, and perceived racism. Additional clinical assessments were height, weight, waist girth, fasting glucose, insulin, triglycerides, and cholesterol.
RESULTS: Resting systolic blood pressure was positively associated with male sex (P<.001) and positively correlated with age (P<.0001), waist girth (P<.0001), body mass index (P=.023), and a Cook Medley Hostility subscale identified as aggressive responding (P=.031). Mean arterial pressure was positively correlated with age (P<.0001), waist girth (P=.0041), Spielberger Anger Expression subscale anger control (P=.023), and aggressive responding (P=.020).
CONCLUSIONS: Anger and hostility are significantly associated with resting blood pressure and may modulate behavioral and traditional (biologic) risk factors that determine cardiovascular physiology.